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Individual

LEONARD ALLAN DATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
161 HIGH ST SE STE 209, SALEM, OR 97301-3693
(503) 560-0802
(971) 273-7253
Mailing address
161 HIGH ST SE STE 209, SALEM, OR 97301-3693
(503) 560-0802

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
174956095
OR

Other

Enumeration date
12/16/2020
Last updated
12/16/2020
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